Ultrasonografi eşliğinde veya landmark yöntemiyle uygulanan, santral venöz kateter uygulamalarındaki başarı oranları ve oluşan komplikasyonların karşılaştırılması

Year 2019, Volume: 16 Issue: 2, 250 - 256, 29.08.2019

Hakan Akelma , Fikret Salık , Cem Kıvılcım Kaçar Osman Uzundere , Ebru Tarıkçı Kılıç

https://doi.org/10.35440/hutfd.563860

Abstract

Amaç: Genellikle
yoğun bakımda kullanılan USG (ultrasonografi) ve Landmark yöntemleri ile
santral venöz kateterizasyonlarda ortaya çıkabilecek başarı oranlarını ve
komplikasyonları karşılaştırmaktır.

Materyal ve Metot: Bu
çalışma geriye dönük olarak 100 hastanın dosyasını tarayarak gerçekleştirildi.
Hastalar Ultrasonografi (n = 49) ve Landmark (n = 51) olmak üzere iki gruba
ayrıldı. Dosyalardan elde edilen bilgilerle kateter çaplarının gruplara göre
dağılımı, gruplara göre operasyonun hangi damardan yapıldığı, cinsiyete göre
dağılımı ve oluşan komplikasyonlar karşılaştırıldı.

Bulgular:
Çalışmamızda SVK (Santral Venöz Katater)'ler için kullanılan kateterlerin
kalınlıklarının dağılımı gruplara göre farklılık göstermedi. Gruplarda cinsiyet
dağılımı açısından bir değişiklik olmadı. SVK USG yöntemiyle 1 hastaya
yapılamadı. USG yöntemiyle IJV (İnternal Juguler Ven) kateterizasyonunda 1
çoklu işlem denendi ve bu yöntem ile başka komplikasyon yaşanmadı.

Sonuç: USG
yöntemi, SVK (SKV (subklavyen ven dışında)) uygulaması için YBÜ'de güvenilir,
pratik ve uygulanabilir bir yöntemdir.

Keywords

Santral venöz kateterizasyon, Landmark yöntemi, ULTRASONOGRAFİ

A comparison of the rates of success and complications in the application of central venous catheters applied with ultrasonography or the landmark method

Abstract

Background: To compare the rates of success and the
complications that can develop during the central venous catheterizations with
ultrasonography and Landmark methods, usually used in the intensive care unit.

Methods: This study was conducted retrospectively by
scanning the files of 100 patients. Patients were divided into two groups as
Ultrasonography (n=49) and Landmark (n=51). The distribution of the catheter
diameters with the information obtained from the files based on groups, from
which artery the operation was made based on the groups, the distribution of
gender based on the groups, and the complications that occurred were compared.

Results: In our study, the distribution of the
thickness of the catheters used for CVCs did not vary by group, there was no
variation in terms of gender distribution in the groups, the CVC was not
entered with the USG method, 1 multiple-operation was tried in the IJV
catheterization with the USG method, and no other complications were
experienced.

Conclusions: USG method is a reliable, practical, and
applicable method in ICU for CVC (excepted SCV(subclavian vein) ) application.

Keywords

Central venous catheterization, Landmark method, Ultrasonography

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